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DocuSign Envelope ID: F441C8C3-BED1-4D1C-AF08-B3OC1EODA701 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Warren-Hay Mechanical Contractors, Inc Party/Vendor Contact. Person: Ron LaPann <br /> Contact Phone: 919-732-4362 Party/Vendor Address: P.O Box 818 City Hillsborough State: NC Zip: 27278 <br /> Department: AMS Amount: $24,897.00 Purpose: WCOB Boiler 2 Budget Code(s): 10240320-57000 Vendor # <br /> 25352 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No❑ Contract Type:(Check one)New❑ <br /> Renewal ❑ Amendment ❑ Effective Date 12/10/2018 Approved by Board Yes❑ No❑ Agenda Date: <br /> This agreement is approved as to technicaI - DOCUSiglned by: <br /> VcwuS l Mt <br /> Department Director's Signature � Datel 2/5/2018 <br /> O.A3E81B12B384N... <br /> Information Technologies <br /> (Applicable only to hardwarelsof?ware purchases oi•related.re?-vices)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency`F:_ooc`usgnea ny: -'-,specifications,and requirements: <br /> Office of the Risk Management Officer USX ('61 f b Date:12/6/2018 <br /> 7FDCF817E800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: DocuSigned by: <br /> Office of the Chief Financial Officer A.&I. Date.12/7/2018 <br /> 7D4E5981ACC1469... <br /> Legal Services <br /> This agreement is approved as to legal fc1EAA3D3aED8AM65 <br /> DocuSigned by: <br /> / / <br /> Office of the County Attorney ll�ite: 12 7 2018 <br /> b1LW Pkkws... - <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@oran=e# countync.goy <br /> The following signature block is for hard copies only and is not required for Docusign contracts: j <br /> 4 <br /> Office of the Cleric to the Board Date: <br /> Revised 10/17 <br /> 8 <br />